MR. Trent Jackman, PT

NPI #1053503193 in Pocatello, Idaho

Provider Information

NPI Number
1053503193
Entity Type
Individual
Name
MR. Trent Jackman, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Geriatrics
Credential
PT
Enumeration Date
Aug 13, 2007
Last Updated
Aug 13, 2007

Practice Location

Address
GARRISON BLDG 63, ROOM 202
Address 2
STOP 8045
State
Idaho
ZIP Code
83209-0001
Phone
(208) 282-3065

Specialties & Taxonomy Codes

Specialty
Physical Therapist - GeriatricsGeriatrics

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